Organization Active NPI

Inline Spines Chiropractic

  • Chiropractor
  • Walled Lake, MI
National Provider Identifier
1124270368
Registry record updated Feb 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
2301009136 Issued in MI
Legal business name
INLINE SPINES CHIROPRACTIC
Practice address
128 W Walled Lake Dr
Walled Lake, MI 48390-3455
Phone
(248) 926-1829
Fax
(248) 926-1837
NPI assigned
Oct 21, 2008
Reactivated
Feb 19, 2009
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. Adam James Woodbeck, D.C.
Title
President
Phone
(248) 926-1829

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 2301009136 MI Primary

Addresses

Primary practice location

128 W Walled Lake Dr
Walled Lake, MI 48390-3455

Mailing address

128 W Walled Lake Dr
Walled Lake, MI 48390-3455
Phone (248) 926-1829

Other identifiers 1

IdentifierTypeStateIssuer
BCBS PROVIDER IDOtherMI950F375750

Other names 1

  • Woodbeck Family Chiropractic Doing business as

National Provider Directory

National Provider Directory

Locations

128 W Walled Lake Dr
Walled Lake, MI 48390
Phone (248) 926-1829

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1224547200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1329177600000",
    "number": "1124270368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 W WALLED LAKE DR",
            "city": "WALLED LAKE",
            "state": "MI",
            "postal_code": "483903455",
            "telephone_number": "248-926-1829",
            "fax_number": "248-926-1837"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 W WALLED LAKE DR",
            "city": "WALLED LAKE",
            "state": "MI",
            "postal_code": "483903455",
            "telephone_number": "248-926-1829",
            "fax_number": "248-926-1837"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INLINE SPINES CHIROPRACTIC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-21",
        "last_updated": "2012-02-14",
        "deactivation_date": "2009-02-04",
        "reactivation_date": "2009-02-19",
        "status": "A",
        "authorized_official_last_name": "WOODBECK",
        "authorized_official_first_name": "ADAM",
        "authorized_official_middle_name": "JAMES",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "248-926-1829",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MI",
            "license": "2301009136",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "950F375750",
            "identifier": "BCBS PROVIDER ID",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Woodbeck Family Chiropractic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Walled Lake, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.